| Rubtsov D.d.s., Inc. | |
|
12450 Burbank Blvd North Hollywood CA 91607-1637 | |
| (818) 763-0777 | |
| (818) 763-0453 |
| Full Name | Rubtsov D.d.s., Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 12450 Burbank Blvd, North Hollywood, California |
| Authorized Official Name and Position | Valeriy Rubtsov (PRESIDENT) |
| Authorized Official Contact | 8187630777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rubtsov D.d.s., Inc. 12450 Burbank Blvd 'l' North Hollywood CA 91607-1637 Ph: (818) 763-0777 | Rubtsov D.d.s., Inc. 12450 Burbank Blvd North Hollywood CA 91607-1637 Ph: (818) 763-0777 |
| NPI Number | 1891945317 |
|---|---|
| Provider Enumeration Date | 09/19/2008 |
| Last Update Date | 02/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891945317 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 54304 (California) | Primary |
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